Become a Health Plan of Nevada, Sierra Health and Life or Behaviorial Healthcare Options behavorial health provider. Complete the form below and we'll be in touch.
If you are a group, please include a completed Group Roster form. Download the form
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Please complete the below section if you are a sole practitioner, if not, please continue to Count of Clinical
If you are a group, please include a completed Group Roster form.
You have completed the letter of interest.Once submitted, the review process will be completed within 14 business days.